Session Type
Meeting
Search Results for Hypertension
Abstract Number: 817
SHM Converge 2024
Case Presentation: A 40yo woman with no significant past medical history presented to her optometrist with three months of progressive intermittent blurry vision. She was diagnosed with bilateral papilledema and advised to urgently follow up with her primary doctor. Upon evaluation she denied any symptoms aside from her visual changes. Her heart rate was 132 […]
Abstract Number: 829
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 45-year-old woman with a history of ER-/PR-/Her2+ breast cancer previously in remission, recently diagnosed with recurrent metastatic breast cancer pathologically and on imaging, presented to the hospital with multiple days of dyspnea and dry cough. Vitals were remarkable for hypoxia and tachycardia. Electrocardiogram showed sinus tachycardia without ischemic changes. Troponin and B-type […]
Abstract Number: 829
SHM Converge 2024
Case Presentation: A 34-year-old morbidly obese man with a history of recurrent headaches was admitted to the hospital with two months of rapidly progressive bilateral vision loss, weight gain, and lower extremities (LE) and scrotal swelling. An eye exam revealed severe papilledema in both eyes. Labs revealed brain natriuretic peptide 588 pg/ml and chest X-ray […]
Abstract Number: 833
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: We report the case of a 43-year-old man who presents to our institution with recurrent episodes of dizziness, headaches and syncope. He had a history of uncontrolled hypertension that was diagnosed as a teenager. His admitting blood pressure was 174/103 mmHg and he had a heart rate of 108. On physical exam, he […]
Abstract Number: 897
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 68-year-old previously healthy woman was presented to our hospital with acute low back pain that was not triggered by any trauma. Magnetic resonance imaging (MRI) revealed a lumbar compression fracture, and she was admitted to the orthopedic department. Two days later, she developed orthopnea and hypotension, and therefore the orthopedician consulted with […]
Abstract Number: A22
SHM Converge 2022
Background: Hypertension occurs in up to 75% of hospitalized patients. However, less than 1% have “hypertensive emergency,” defined as severely elevated blood pressure (BP) with end-organ injury. Current guidelines support emergent treatment of hypertensive emergency but recommend against immediate reduction of severely elevated BP in patients without end-organ injury (i.e., asymptomatic hypertension). Recent literature suggests […]
Abstract Number: A35
SHM Converge 2022
Case Presentation: 39-year-old African American male presented with dyspnea and hematuria for one week. His past medical history includes stage 3 CKD and hypertension. In the emergency room he was found to be severely hypertensive with systolic blood pressures hovering around 240 mmHg. Initial laboratory tests revealed significantly elevated creatinine level from baseline and new-onset […]
Abstract Number: D32
SHM Converge 2022
Case Presentation: A 64 year-old male with a history of childhood polio leading to severe kyphoscoliosis presented to our hospital with four months of progressively worsening shortness of breath and was found to be in acute hypoxic and hypercapneic respiratory failure requiring noninvasive positive pressure ventilation (NPPV). On exam, he was altered and not responding […]
Abstract Number: F26
SHM Converge 2022
Case Presentation: A 49-year-old man with known history of class III obesity (body mass index 43), hypertension, hyperlipidemia, and insulin dependent diabetes presented to the emergency department with bilateral lower extremity swelling and dyspnea on exertion of two weeks duration. Pertinent vitals included blood pressure 161/74 mmHg, heart rate 99 beats per minute, and saturation […]
Abstract Number: N27
SHM Converge 2022
Case Presentation: A 57-year-old male with history of non-alcoholic steatohepatitis (NASH) cirrhosis complicated by recurrent hepatic hydrothorax (requiring approximately 15 thoracenteses) presented with dyspnea. Admission chest x-ray and subsequent computed tomography (CT) scan revealed a large pleural effusion with collapse of the right lower lobe. He underwent thoracentesis with removal of two liters of pink, […]